Provider Demographics
NPI:1861237216
Name:OKLAHOMA NEUROCARE PLLC
Entity type:Organization
Organization Name:OKLAHOMA NEUROCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VERNON
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-688-8120
Mailing Address - Street 1:10726 S QUEBEC AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-6815
Mailing Address - Country:US
Mailing Address - Phone:918-688-8120
Mailing Address - Fax:
Practice Address - Street 1:10240 BROADWAY EXT
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-6309
Practice Address - Country:US
Practice Address - Phone:405-900-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty